Headache after lunch can indicate reactive hypoglycemia

     Written by : IANS | Sun, Nov 13, 2016, 12:33 AM


Raja The Great doing Great at Box-Office

New Delhi, Nov 13: Twenty-three-year-old Rahul (name changed) faced an unusual problem. He used to suffer dizziness, anxiety and regular headaches every time after having a meal.

When the problem persisted, he decided to see a doctor and on investigation it was found that the root of the problem was an unusual condition where the blood sugar level drops after a meal instead of rising as is the norm.

Rahul was diagnosed with a relatively uncommon condition called reactive hypoglycemia, or postprandial hypoglycemia, which happens due to excess insulin secretion after a meal.

"The family history of diabetes could have been the reason for the excess insulin secretion," Ajay Kumar Ajmani, Senior Consultant, Endocrinology, BLK Super Speciality Hospital here, told IANS.

Although extreme cases of reactive hypoglycemia are very rare, doctors say that people with insulin resistance and those who are overweight or obese are vulnerable to this condition.

Insulin resistance is a risk factor for the development of Type-2 diabetes, which is increasing in epidemic proportions worldwide -- and more so in India.

Postprandial hypoglycemia occurs when too much insulin is produced and released by the pancreas following a large carbohydrate-based meal.

"Reactive hypoglycemia refers to low blood sugar that occurs after a meal -- usually within four hours after eating. This is different from low blood sugar (hypoglycemia) that occurs while fasting," Subhash Kumar Wangnoo, Senior Consultant Endocrinologist and Diabetologist at the capital's Indraprastha Apollo Hospital, told IANS.

"People who have undergone bariatric surgery (for weight loss) are also more likely to get reactive hypoglycaemia," Wangnoo noted. "In those who have undergone bariatric surgery, the food can pass too quickly into the small intestine (dumping syndrome). As a result, the glucose in food is not absorbed resulting in hypoglycaemia.

"Also an uncommon complication of bariatric surgery is nesidioblastosis -- a condition in which the insulin producing cells of the pancreas undergo hyperplasia, resulting in excess insulin production that can cause reactive hypoglycaemia," Wangnoo explained.

Signs and symptoms of reactive hypoglycemia include hunger, weakness, shakiness, sleepiness, sweating, light-headedness, headache, palpitations, irritability and anxiety.

"Increasing use of carbohydrates and fats and processed foods, along with reduced physical activity, are the underlying factors leading to the increasing prevalence of these conditions," Wangnoo said.

A study published in the journal Diabetologia detailed the history of three patients who did not have diabetes but who suffered so much from severe hypoglycemia following meals that they became confused and sometimes blacked out.

Following weight loss surgery, all three patients -- a woman in her 20s, another in her 60s and a man in his 40s - developed postprandial hypoglycemia that failed to respond to dietary or medical intervention.

The immediate cause of hypoglycemia was exceptionally high levels of insulin following meals. All three patients in the study failed to respond to medication and ultimately required partial or complete removal of the pancreas, the major source of insulin, to prevent dangerous declines in blood glucose.

Thankfully, most cases of postprandial hypoglycemia can be managed by simple modifications in the diet, according to the doctors.

After monitoring blood glucose levels hourly before and after a meal, Rahul's diet too was modified.

"Rahul takes small meals every four hours, exercises daily in the morning and his blood sugar level does not dip below 80 mg/dL. After two months, he seemed to have got rid of the symptoms he used to complain of," Ajmani said.

"Dietary modification with controlled carbohydrate content has been demonstrated to improve symptoms of postprandial hypoglycemia in bariatric surgery-associated hypoglycemia, dumping syndrome, insulin autoimmunity, and postprandial syndrome," Manoj Kumar, Consultant, Endocrinology Department, Jaypee Hospital, Noida, noted.

The doctors advised that patients diagnosed with the condition should have a balanced diet -- high-fibre foods, non-meat source of protein, whole grains, fruits and vegetables. They should also avoid sugary food on an empty stomach.

"Avoid sugary soft drinks and eat several small meals and snacks throughout the day, no more than three hours apart during the waking hours," Ajmani said.

Patients with reactive hypoglycaemia should be screened for diabetes or later development of diabetes as they might be having prediabetes, Wangnoo pointed out.







  • Modi, cabinet colleagues to campaign in Himachal

    Shimla, Oct 22: Prime Minister Narendra Modi and his cabinet colleagues are among an array of leaders who will try to woo voters in favour of the BJP ahead of the November 9 assembly elections in Hima ..

    Written by : IANS | 06:58 PM
  • Andhra CM finished USA tour, left for UAE

    UAE, Oct 22: The Andhra Pradesh Chief Minister Chandrababu Naidu is on a Three Country Tour hunting for investments. He just finished his USA tour and flew to UAE. After that, he will be heading to ..

    Written by : IANS | 06:26 PM
  • Tippu Sultan Jayanti-differences of Opinion

    The Karnataka Governments Tipu Sultan Jayanthi celebrations next month has become a topic of controversy.On November 10th previous years the celebrations were sponsored by the state government. Normal ..

    Written by : IANS | 06:05 PM
  • 8 yrs old boy killed after hit by an elevator

    Hyderabad, Oct 22: Here is a tragic incident has occurred while an eight-year-old boy died after his head was allegedly hit by an elevator at Satya Sai Apartments under Saroornagar police station limi ..

    Written by : IANS | 05:35 PM
  • India score 280/8 against NZ

    Mumbai OCt 22: Indian has ended their first innings against Newzealand in the first ODI in Mumbai. India - 280/8 50 overs. Earlier many people thought that India would score 300 easily with Ms D ..

    Written by : IANS | 05:17 PM
  • Virat Kohli creates record in his 200 ODI

    Mumbai, October 22: Indian Skipper Virat Kohli has registered yet another record here on Today. Virat Kohli has scored 31 ODI century in his 200 ODI international.He is the youngest player achieve ..

    Written by : IANS | 04:50 PM
  • WhatsApp latest update: Group voice calls

    San Francisco, Oct 22: The Social media giant network, WhatsApp has confirmed group voice calls in its latest beta version of Android. The 2.17.70 iOS update has very hidden references to group cal ..

    Written by : IANS | 04:47 PM
  • E-vechiles to enter Indian Road in 2018

    Mumbai Oct 22: Currently many Automobile companies have changed their strategy and have invested in R& D and they have also started focussing on the manufacture of Electric Vehicles.Some of the reason ..

    Written by : IANS | 04:45 PM
  • CM KCR sanctioned 4540 medical posts

    Hyderabad, Oct 22: The Telangana Chief Minister K Chandrasekhar Rao said that sufficient supply of KCR kits followed by several innovative measures by the state government has resulted in a surge in t ..

    Written by : IANS | 04:21 PM
  • Mehreen Birthday Gift

    Hyderabad, October 22: Mehreen Kaur seems to be the new actress to work within Tollywood, what with her recent films 'Mahanubhavudu' and 'Raja the Great' doing great at the box office. She is now p ..

    Written by : IANS | 04:15 PM
  • Team India lost 4th wicket, Kohli Shines with 50

    Mumbai, October 22: After winning the Series against the Australian team, Team India was ready for the yet another series with black Caps New Zealand. We told that Team India has won the toss and c ..

    Written by : IANS | 03:43 PM
  • This technology may speed up home Internet

    New York, Oct 22: A new technology promises to speed up slow Internet at home, say researchers, adding that the new hardware can enable speed up to 10,000 megabits-per-second (Mbps) or 10 gigabits-per ..

    Written by : IANS | 03:39 PM
  • India loose early wickets 71/3 against Kiwis

    Mumbai OCt 22: Indian cricket team has lost early wickets in the 1st ODI match against Newzealand. Team skipper Virat Kohli will play his 200 ODI today. India :71/3 (15.2 ov) Earlier India choos ..

    Written by : IANS | 02:49 PM
  • CM KCR to remove Public Distribution System

    Hyderabad, Oct 22: The Telangana Chief Minister K Chandrashekhar Rao on Saturday suggested the implementation of a foolproof distribution policy to remove irregularities in the Public Distribution Sys ..

    Written by : IANS | 02:27 PM
  • PM Modi launches ferry service

    Gujarat, Oct 22: The Prime Minister Narendra Modi has inaugurated the first phase of the Ghogha-Dahej Ro-Ro ferry service on Sunday, a first-of-its-kind project in India, calling it "a landmark occasi ..

    Written by : IANS | 02:08 PM
  • Pawan Kalyan to launch Jr.NTR's next film

    Hyderabad, Oct 22: Here is a good news for Powerstar fans and Nandamuri fans.The Tollywood Young Tiger NTR has received an enormous response from Jai Lavakusa film.It is known that NTR is going to tea ..

    Written by : IANS | 01:54 PM
  • Karnataka fans to build Temple for Jr NTR

    Hyderabad, October 16: Tollywood Young Tiger NTR has been in tremendous form with back to back hits like Temper, Nannaku Prematho, Janatha Garage, Jai lava Kusa, these films earned the lot fans from t ..

    Written by : IANS | 11:33 AM
  • Nivetha Thomas Accidental Birthday

    Hyderabad, October 15: Popular Actress Nivetha Thomas who has been in tremendous form after the success of Jai Lava Kusa. Many fans mistakenly thought today is the birthday of actress Niveth Thoma ..

    Written by : IANS | 03:57 PM
  • Another Path Braking character for Ramya Krishna

    Hyderabad, October 15: Tollywood Sivagami Ramaya Krishna has started her Second Innings with the flick Baahubali in which Sivagami character attracted the audience very much. Earlier, she played so ..

    Written by : IANS | 11:52 AM
  • Mahesh Babu Decided to give Remunaration

    Hyderabad, October 15: Superstar Mahesh Babu latest flick Spyder didn't succeed at the box office as expected, so he decided to give his part of the remuneration of the producer. According to the ..

    Written by : IANS | 10:48 AM
  • Samantha honeymoon delayed, why?

    Hyderabad, October 14: Actress Samantha is now enjoying the success of her recent film Raju Gari Gadhi 2, in which she played the character quite superb, from this aspect many of the audience were pra ..

    Written by : IANS | 12:01 PM
  • Anushka to romance Venkatesh once again

    Hyderabad, October 13: Tollywood Beauty Anushka has done several biggest films in her career, in which Baahubali and Rudramadevi garnered the immense response from all fans. Especially Devsena Charact ..

    Written by : IANS | 10:25 AM
  • Hariteja replaces Rashmi in extra Jabardasth

    Hyderabad, October 12: Currently, television lovers are watching Jabardasth, and Extra Jabardath frequently, Anchor Anasuya and Rashmi are doing the anchor role in the two programs. Bigboss show ce ..

    Written by : IANS | 11:49 AM
  • Akshara or Shriya Sharma in Arjun Reddy remake?

    Chennai, October 10: Vijay Devarakonda earned immense fame for his role in 'Arjun Reddy'. It is known news that Chiyaan Vikram's son Dhruv is making his acting debut with Tamil remake of Arjun Reddy. ..

    Written by : IANS | 04:03 PM
  • OMG!! Arjun Reddy teaming up flop Director!!

    Hyderabad, October 10: Vijay Deverakonda latest sensation Arjun Reddy movie has bagged the immense response from the audience, from this film the craze of the actor was doubled, right he is one of the ..

    Written by : IANS | 02:51 PM
  • 200 cr budjet for Kamal Hasan 'Indian 2'

    Chennai, October 09: Director Shankar is currently busy with the post-production work of Robot 2.0, starring Superstars Rajinikanth and Akshay Kumar in the lead roles. After the film, The Director ..

    Written by : IANS | 10:46 AM
  • PSPK 25 film title Unveiled

    Hyderabad, October 08: Power Star Pawan Kalyan 25th film is now under the Direction of Trivikram Srinivas.So many rumors have emerged regarding the title of the film .Many titles have emerged in the ..

    Written by : IANS | 03:30 PM
  • Naga chaitanya Next film updates

    Hyderabad, October 07: Akkineni Naga Chaitanya is reuniting with Sitara Entertainments banner after Premam. The yet to be titled film is going to be directed by Maruthi. While Samantha will be tak ..

    Written by : IANS | 07:06 PM
  • Rakul to romance Mahesh Babu once again

    Hyderabad, October 05: Rakul Preet Singh has reportedly bagged a biggie. The fast-growing actress has signed to play the female lead in Mahesh Babu's next movie to be directed by filmmaker Vamshi Paid ..

    Written by : IANS | 04:12 PM
  • Ram Charan to shake a leg with Pooja Hegde

    Hyderabad, October 04: Actress Pooja Hegde, who is well known for her stellar performance in "Duvvada Jagannatha, and Mukunda has caught the attention of Director Sukumar. Apparently, the filmmaker ..

    Written by : IANS | 01:09 PM
  • Amy Jackson to romance Jr NTR

    Hyderabad, October 02: Tollywood Young tiger NTR who is busy with the ongoing success of Jai Lava Kusa film. the film minted 100 shares world wide. now the fans are eagerly waiting for the next mov ..

    Written by : IANS | 06:07 PM
  • R Madhavan roped in Savyasachi

    Hyderabad, September 26: Akkineni Nagachaithanya recent flick Yudham Sharanam didn't succeed at the Box office, but the actor has come back with Savyasachi which will be helmed by Chandoo Mondeti.The ..

    Written by : IANS | 10:39 AM
  • Venkatesh to remake Salman Khan 'Sultan'

    Hyderabad, September 25: Victory Venkatesh has gained a decent hit at the box office with GURU movie.and he didn't sign for any film after the movie. Currently, the actor is looking for different s ..

    Written by : IANS | 11:26 AM
  • 'SPYDER' Introduction scene revealed

    Hyderabad sept 24: Tollywood Prince Mahesh Babu's Upcoming movie Spyder Movie has created a buzz in the audience.The movie teaser, Trailer, and Glimpse have garnered good response from the Audience. ..

    Written by : IANS | 04:13 PM
  • Rana Daggubati remuneration for Shop opening

    Hyderabad, September 22: Rana Daggubati's craze increasing day by day, After the biggest hit of Baahubali, the craze of the Rana has doubled, after that, he acted in 2 films Ghazi and nene Raju Nene M ..

    Written by : IANS | 12:10 PM
  • 'Arjun Reddy' hiked his remuneration?

    Hyderabad, September 21: Vijay Devarakonda, who given a stellar performance in the latest flick of Arjun Reddy has increased the remuneration according to his craze in Tollywood Media. Currently, the ..

    Written by : IANS | 01:07 PM
  • Mohan Babu in 'Mahanati'?

    Hyderabad, September 16: It is Known that Tollywood upcoming movie Mahanati has a number of Actors and Actress in the Direction of Nag Ashiwn. The news is that Collection king, who delivered an outsta ..

    Written by : IANS | 11:11 AM